4.4 Review

The mindfulness trajectories of addressing suicidal behaviour: A systematic review

Journal

INTERNATIONAL JOURNAL OF SOCIAL PSYCHIATRY
Volume 67, Issue 5, Pages 507-519

Publisher

SAGE PUBLICATIONS LTD
DOI: 10.1177/0020764020960776

Keywords

Mindfulness; suicidality; suicidal ideation; systematic review; mindfulness based cognitive therapy

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This systematic review examined evidence-based research on the efficacy of mindfulness-based interventions (MBIs) as a psychotherapy intervention for suicidal behavior. The findings suggest that MBIs show promising effects in addressing suicidal behavior, but further research with larger trials and longer-term studies is needed to understand the mechanisms behind these effects.
Background and objectives: Suicidal behaviour has been a persistent concern in medical as well as general settings. Many psychotherapeutic approaches have tried to address suicidal behaviour in different ways. Mindfulness-based interventions (MBIs) have garnered much attention in the last decade because of their treatment efficacy. This systematic review aimed to examine evidence-based research regarding the effectiveness of MBIs as a psychotherapy intervention on suicidality and to deliver suggestions that might help future research. Method: The identification of literature was made through an extensive search of the electronic databases, to extract studies relating to the efficacy of MBIs on addressing suicidal behaviour. Additional researches based on library sources were searched manually. The studies' selection was based on a pre-determined inclusion and exclusion criteria as well as the quality of the studies. Results: The present review helped us identify 13 studies, including six randomised controlled trials, two controlled studies and five pre-post observational studies. The findings reported in the studies were mostly favourable to MBIs as an effective intervention strategy for suicidal behaviour. Conclusion: MBIs show promising effects as an intervention for suicidal behaviour. However, large scale, high-quality trials with active control, and long term intervention efficacy studies are needed to understand the mechanisms through which MBIs reduce suicidal behaviour.

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